Evidence map›Paper›PMID 37921609›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2024

Early Oral Antibiotic Switch in Staphylococcus aureus Bacteraemia: The Staphylococcus aureus Network Adaptive Platform (SNAP) Trial Early Oral Switch Protocol.

Dana de Kretser, Jocelyn Mora, Max Bloomfield, Anita Campbell, Matthew P Cheng, Stephen Guy, Marjolein Hensgens, Shirin Kalimuddin, Todd C Lee, Amy Legg and 28 more

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05137119 phase4recruitingnot on this map

Staphylococcus Aureus Network Adaptive Platform Trial

TypeinterventionalSponsorUniversity of MelbourneRan2022 to 2028Enrolled8,000ConditionsStaphylococcus Aureus BacteremiaArmsCefazolin, Penicillin, Clindamycin, Vancomycin, Effectiveness of early switch to oral antibiotics
NCT07384702 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Phase 2 Platform Randomized, Multicentre and Open Trial on the Efficacy and Safety of Clopidogrel as Adjuvant Drug in Staphylococcus Aureus Bacteraemia (CLOPI-SNAP)

TypeinterventionalSponsorFundación Pública Andaluza para la gestión de la Investigación en SevillaRan2026 to 2030Enrolled230ConditionsBacteremia Due to Staphylococcus AureusArmsClopidogrel, No antiplatelet treatment
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Cefazolin for Methicillin-SusceptibleThe New England journal of medicine · 2026
    Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. The Hospitalization Cost of Pediatric Staphylococcus aureus Bacteremia.Journal of the Pediatric Infectious Diseases Society · 2026
    Article
  8. Why we do what we do: a survey of ID providers about oral antibiotics.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026
    Article
  9. 2023 European Society of Cardiology guidelines for the management of infective endocarditis : Statement of endorsement by the NVVC Full version.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2026
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Multidrug-resistantFrontiers in microbiology · 2025
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

38 authors at 20 institutions in 10 countries.

Dana de KretserMedical Research Council Clinical Trials Unit, University College London, London, United Kingdom.
Jocelyn MoraDepartment of Infectious Diseases University of Melbourne, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Max BloomfieldDepartment of Infection Services, Wellington Regional Hospital, New Zealand.
Anita CampbellTelethon Kids Institute, Wesfarmers Center of Infectious Diseases and Vaccines, The University of Western Australia, Perth, Australia.
Matthew P ChengDivisions of Infectious Diseases and Medical Microbiology, McGill University Health Center, Montreal, Canada.
Stephen GuyDepartment of Infectious Diseases, Eastern Health, Box Hill, Australia.
Marjolein HensgensUMC Utrecht, Utrecht University, Utrecht, The Netherlands.
Shirin KalimuddinDepartment of Infectious Diseases, Singapore General Hospital, Singapore, Singapore.
Todd C LeeClinical Practice Assessment Unit and Division of Infectious Diseases, McGill University, Montreal, Canada.
Amy LeggMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Robert K MaharCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Parkville, Australia.
Michael MarksDepartment of Clinical Research, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Julie MarshTelethon Kids Institute &/Department of Infectious Diseases &/Wesfarmers Centre for Vaccines and Infectious Diseases, Perth Children's Hospital, Perth, Australia.
Anna McGlothinBerry Consultants, LLC, Austin, Texas, USA.
Susan C MorpethDepartment of Infectious Diseases, Middlemore Hospital, Auckland, New Zealand.
Archana SudDepartment of Infectious Diseases, University of Sydney, Nepean Hospital, Kingswood, New South Wales, Australia.
Jaap Ten OeverDepartment of Internal Medicine and Radboud Centre for Infectious Diseases, Radboud University Medical Center Nijmegen, The Netherlands.
Dafna YahavInfectious Diseases Unit, Sheba Medical Center, Ramat-Gan, Israel.
Marc BontenUMC Utrecht, Utrecht University, Utrecht, The Netherlands.
Asha C BowenTelethon Kids Institute &/Department of Infectious Diseases &/Wesfarmers Centre for Vaccines and Infectious Diseases, Perth Children's Hospital, Perth, Australia.
Nick DanemanDivision of Infectious Diseases, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Sebastiaan J van HalDepartment of Microbiology and Infectious Diseases, Royal Prince Alfred Hospital, Sydney, Australia.
George S HeriotDepartment of Infectious Diseases University of Melbourne, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Roger J LewisBerry Consultants, LLC, Austin, Texas, USA.
David C LyeNational Center for Infectious Diseases, Singapore.
Zoe McQuiltenMonash University (including Australian and New Zealand Intensive Care Research Centre), Clayton, Australia.
David L PatersonUniversity of Queensland Centre for Clinical Research, Royal Brisbane and Women's Hospital Campus, Brisbane, Australia.
J Owen RobinsonDepartment of Infectious Diseases, Royal Perth Hospital, Perth, Australia.
Jason A RobertsHerston Infectious Diseases Institute, Herston, Brisbane, Australia.
Matthew ScarboroughDepartment of Infectious Diseases, Oxford University Hospitals NHS Trust, Oxford, United Kingdom.
Steve A WebbDepartment of Infectious Diseases, Oxford University Hospitals NHS Trust, Oxford, United Kingdom.
Lynda Whiteway
Steven Y C TongDepartment of Infectious Diseases University of Melbourne, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Joshua S DavisSchool of Medicine and Public Health and Hunter Medical Research Institute, University of Newcastle, Newcastle, Australia.
Genevieve WallsDepartment of Infectious Diseases, Middlemore Hospital, Auckland, New Zealand.
Anna L GoodmanMedical Research Council Clinical Trials Unit, University College London, London, United Kingdom.
SNAP Early Oral Switch Domain-Specific Working Group and SNAP Global Trial Steering Committee
SNAP Trial Group
The Kids Research Institute Australia · AUThe University of Melbourne · AUThe University of Queensland · AUBerry & Associates (United States) · USSheba Medical Center · ILSunnybrook Health Science Centre · CAAustralian and New Zealand Intensive Care Society · AUHunter Medical Research Institute · AUKing's College London · GBMcGill University Health Centre · CAMiddlemore Hospital · NZNational University of Singapore · SGOxford University Hospitals NHS Trust · GBThe Royal Melbourne Hospital · AUThe University of Sydney · AUUniversity of Applied Sciences Utrecht · NLWellington Hospital · NZEastern Health · AUGuy's and St Thomas' NHS Foundation Trust · GBMcGill University · CA

Funding

Advancing Queensland Clinical FellowshipAustralian National Health and Medical Research CouncilCIHRCounties Manukau Tupu Health FundMedical Research Council MC_UU_00004/05National Health and Medical Research CouncilNew Zealand Health Research CouncilSingapore National Medical Research CouncilStarship FoundationTe Niwha Infectious Diseases Research FundUnited Kingdom National Institute for Health and Care Research
6 · The paper itself

Abstract

backgroundStaphylococcus aureus bloodstream infection (bacteremia) is traditionally treated with at least 2 weeks of intravenous (IV) antibiotics in adults, 3-7 days in children, and often longer for those with complicated disease. The current practice of treating S. aureus bacteremia (SAB) with prolonged IV antibiotics (rather than oral antibiotics) is based on historical observational research and expert opinion. Prolonged IV antibiotic therapy has significant disadvantages for patients and healthcare systems, and there is growing interest in whether a switch to oral antibiotics following an initial period of IV therapy is a safe alternative for clinically stable patients. PROTOCOL: The early oral switch (EOS) domain of the S. aureus Network Adaptive Platform (SNAP) trial will assess early switch to oral antibiotics compared with continued IV treatment in clinically stable patients with SAB. The primary endpoint is 90-day all-cause mortality. Hospitalised SAB patients are assessed at platform day 7 ±2 (uncomplicated SAB) and day 14 ±2 (complicated SAB) to determine their eligibility for randomization to EOS (intervention) or continued IV treatment (current standard of care). DISCUSSION: Recruitment is occurring in the EOS domain of the SNAP trial. As of August 2023, 21% of all SNAP participants had been randomized to the EOS domain, a total of 264 participants across 77 centers, with an aim to recruit at least 1000 participants. We describe challenges and facilitators to enrolment in this domain to aid those planning similar trials.

Indexed as

Anti-Bacterial AgentsBacteremiaStaphylococcal InfectionsStaphylococcus aureusAdaptive Clinical Trials as TopicAdministration, IntravenousAdministration, OralAdultFemaleHumansMaleRandomized Controlled Trials as TopicAnti-Bacterial Agentsadaptive platform clinical trialbacteremia (or bacteraemia or bloodstream infection)intravenous antibioticoral antibioticStaphylococcus aureus (or S. aureus)

Identifiers

PMID37921609
PMCPMC11478773
OpenAlexW4388286779

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.